Organization
SPRINGWELLS CLINICAL PHARMACY INC.
Active
Other names
Springwells Clinical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL DAKHLALLAH RPH (PHARMACIST)
(313) 841-8000
Entity
Organization
Contact information
Practice address
2117 SPRINGWELLS ST, DETROIT, MI 48209-1507
(313) 841-8000
(313) 841-0505
Mailing address
2117 SPRINGWELLS ST, DETROIT, MI 48209-1507
(313) 841-8000
(313) 841-0505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044486
PK
—
05
—
4110403
—
MI
Enumeration date
08/29/2006
Last updated
12/03/2015
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